Provider Demographics
NPI:1104589902
Name:DU, HE (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:HE
Middle Name:
Last Name:DU
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 PARRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-1332
Mailing Address - Country:US
Mailing Address - Phone:917-873-9933
Mailing Address - Fax:
Practice Address - Street 1:214 PARRIS BLVD
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-1332
Practice Address - Country:US
Practice Address - Phone:917-873-9933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006978171100000X
PAAK001358171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist